Examination of costs for a lay health educator-delivered translation of the Diabetes Prevention Program in senior centers

Krukowski, Rebecca A.; Pope, Rebecca; Love, ShaRhonda; Lensing, Shelly; Felix, Holly C.; Prewitt, T. Elaine; West, Delia Smith

doi:10.1016/j.ypmed.2013.06.027

Cited by 25 publications

(21 citation statements)

References 13 publications

(18 reference statements)

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“…Of the 12 studies that reported the actual costs of implementing the program (20–31), only 4 included costs for identifying persons at increased risk (22, 24, 27, 29). The major cost driver was staff time to deliver the intervention.…”

Section: Resultsmentioning

confidence: 99%

“…It was also lower than the median cost of programs with a mix of individual and group sessions (median, $918 [range, $839 to $1416]) (26, 27, 30) (Table 1). The median cost per participant for translational programs delivered by trained laypersons (median, $357 [range, $191 to $839]) (21, 22, 26) was lower than that for those delivered by health professionals (median, $1077 [IQI, $381 to $1329]; 4 programs; 5 data points) (20, 28–30); however, there was large variation within personnel type, possibly due to a mixture of delivery settings and methods (Table 1). …”

Section: Resultsmentioning

confidence: 99%

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Economic Evaluation of Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among Persons at Increased Risk: A Systematic Review for the Community Preventive Services Task Force

et al. 2015

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Background Diabetes is a highly prevalent and costly disease. Studies indicate that combined diet and physical activity promotion programs can prevent type 2 diabetes among persons at increased risk. Purpose To systematically evaluate the evidence on cost, cost-effectiveness, and cost-benefit estimates of diet and physical activity promotion programs. Data Sources Cochrane Library, EMBASE, MEDLINE, PsycINFO, Sociological Abstracts, Web of Science, EconLit, and CINAHL through 7 April 2015. Study Selection English-language studies from high-income countries that provided data on cost, cost-effectiveness, or cost-benefit ratios of diet and physical activity promotion programs with at least 2 sessions over at least 3 months delivered to persons at increased risk for type 2 diabetes. Data Extraction Dual abstraction and assessment of relevant study details. Data Synthesis Twenty-eight studies were included. Costs were expressed in 2013 U.S. dollars. The median program cost per participant was $653. Costs were lower for group-based programs (median, $417) and programs implemented in community or primary care settings (median, $424) than for the U.S. DPP (Diabetes Prevention Program) trial and the DPP Outcomes Study ($5881). Twenty-two studies assessed the incremental cost-effectiveness ratios (ICERs) of the programs. From a health system perspective, 16 studies reported a median ICER of $13 761 per quality-adjusted life-year (QALY) saved. Group-based programs were more cost-effective (median, $1819 per QALY) than those that used individual sessions (median, $15 846 per QALY). No cost-benefit studies were identified. Limitation Information on recruitment costs and cost-effectiveness of translational programs implemented in community and primary care settings was limited. Conclusion Diet and physical activity promotion programs to prevent type 2 diabetes are cost-effective among persons at increased risk. Costs are lower when programs are delivered to groups in community or primary care settings. Primary Funding Source None.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Economic Evaluation of Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among Persons at Increased Risk: A Systematic Review for the Community Preventive Services Task Force

et al. 2015

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“…A similar model adopted from DPP study and implemented by lay health educators in senior centers across Arkansas validated that lifestyle interventions are effective and economical [24]. Very few trials have demonstrated cost effectiveness of DM screening in the general population.…”

Section: Costsmentioning

confidence: 96%

Identifying prediabetes – Is it beneficial in the long run?

et al. 2015

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“…In particular, our cost analysis takes the perspective of the implementing agency [31] and therefore excludes participant and societal costs (and savings) [27][28][29][30]. We report costs associated with the intensive phase separately from the maintenance phase, as agencies may wish to only implement the intervention for 6 months rather than 12 months, or implement the intensive phase of the intervention in a rolling group format.…”

Section: Definition Of Costsmentioning

confidence: 99%

“…Consistent with recent cost reports on implementing weight interventions in other populations [27][28][29][30], we conducted a cost analysis [31] using the perspective of a community agency interested in implementing the program. This analysis includes only costs that would be associated with real-world implementation in community settings-rather than, say, from a governmental agency perspective-when the intervention and associated materials do not need to be modified and are freely available in the public domain as these (http://www.…”

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confidence: 99%

Costs of implementing a behavioral weight-loss and lifestyle-change program for individuals with serious mental illnesses in community settings

Stumbo

Yarborough

et al. 2015

Behav. Med. Pract. Policy Res.

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Little research has examined costs of adopting a successful lifestyle intervention for people with serious mental illnesses in community clinics. The study aims to calculate the real-world costs of implementing a group-based weight-loss and lifestyle intervention in community settings. We used empirically derived costs to estimate implementation costs and conducted sensitivity analyses to estimate costs: (1) when implementing the intervention in high/low resource-intensive environments and (2) assuming variability in participant enrollment. To implement the STRIDE program for 15 individuals with serious mental illnesses, we estimated costs for the 12-month (30-session) intervention, with materials available in the public domain, at $16,427 or $1095 per participant. The majority of costs, $12,767, were associated with direct labor costs. Replication costs are largely associated with labor. Community health centers offer an untapped resource for implementing behavioral-lifestyle interventions, particularly under the Affordable Care Act, though additional payment reforms or incentives may be needed.

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Examination of costs for a lay health educator-delivered translation of the Diabetes Prevention Program in senior centers

Abstract: A LHE-delivered DPP translation in senior centers is effective in achieving weight loss at low cost and offers promise for the dissemination of this evidence-based intervention.

Cited by 25 publications

References 13 publications

Economic Evaluation of Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among Persons at Increased Risk: A Systematic Review for the Community Preventive Services Task Force

Economic Evaluation of Combined Diet and Physical Activity Promotion Programs to Prevent Type 2 Diabetes Among Persons at Increased Risk: A Systematic Review for the Community Preventive Services Task Force

Identifying prediabetes – Is it beneficial in the long run?

Costs of implementing a behavioral weight-loss and lifestyle-change program for individuals with serious mental illnesses in community settings

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